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Status unknownNCT04236310Updated Jan 22, 2020

A Study of Neoadjuvant SHR6390 in Combination With Anastrozole, Pyrotinib, and Trastuzumab in Patients With ER+/HER2+ Breast Cancer.

A Phase 2 interventional study of SHR6390 and Anastrozole in Breast Cancer, HER2-positive Breast Cancer and ER-positive Breast Cancer, sponsored by Ruijin Hospital. Status unknown. Open to female participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2020-01-22.

Sponsored by Ruijin Hospital · Phase 2, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Jan 2020), so the status shown — last known as Not yet recruiting — may be out of date.
Phase
Phase 2
Study type
Interventional
Enrollment
37
Allocation
Not applicable
Ages
18 Years to 75 Years
Sex
Female
01

Study summary

To evaluate the efficacy and safety of the SHR6390 in combination with anastrozole, pyrotinib, and trastuzumab in patients with ER-positive, HER2-positive breast cancer in the neoadjuvant setting.

02

Conditions studied

  • Breast Cancer
  • HER2-positive Breast Cancer
  • ER-positive Breast Cancer

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03

In context

Breast Neoplasms

12,544 studies on the registry are indexed under Breast Neoplasms; 2,892 are open to participants now.

This study's planned enrollment of 37 is below the median of 72 across 9,303 interventional studies indexed under Breast Neoplasms.

Browse Breast Neoplasms studies →

Lead sponsor

Ruijin Hospital is the lead sponsor of 635 studies on the registry; 359 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
Female
Accepts healthy volunteers
No

Inclusion criteria

  1. Written informed consent for all study according to local regulatory requirements prior to beginning specific protocol procedures.
  2. Age at diagnosis ≥18 years and ≤75 years, female.
  3. Histologically confirmed diagnosis of Unilateral ER+/HER2+ breast cancer. ER-positivity is defined as >1% stained cells;HER2-positivity is defined as IHC 3+ or if IHC scored 2+, in-situ hybridisation (ISH) suggests amplified HER2 gene.
  4. Tumor diameter >2 centimeters with the clinical stage being classified as from IIa to IIIc.
  5. ECOG ≤ 1, LVEF ≥ 55%.
  6. Laboratory requirements: for hematology, absolute neutrophil count (ANC) ≥1.5 × 109 / L and platelets ≥100 × 109 / L and hemoglobin ≥90 g/L; for hepatic function, total bilirubin ≤1.5 × UNL, AST and ALT ≤2.5 × UNL; for renal function, SCr ≤1.5 × UNL.

Exclusion criteria

Exclusion Criteria:

  1. Evidence of bilateral invasive breast cancer or metastatic disease (M1).
  2. Pevious treatment with chemotherapy, hormonal therapy, an investigational drug for any type of malignancy, or radiation therapy.
  3. Any of the following exist in the last 6 months: known or suspected congestive heart failure (≥ NYHA II), persistent arrhythmias (≥ grade 2), atrial fibrillation of any grade, coronary / peripheral bypass, symptomatic congestive heart failure, cerebrovascular accidents (including transient cerebral hemorrhage attacks or symptomatic pulmonary embolism).
  4. Known hypersensitivity reaction to one of the compounds or incorporated substances used in this protocol.
  5. Active infection or severe symptomatic visceral disease in the last 4 weeks.
  6. Patients with HIV infection or known AIDS, or patients with infection of active hepatitis B (HBV DNA ≥1000IU / ml) or hepatitis C (hepatitis C antibody is positive and HCV RNA is above the lower limit of detection of the analytical method).
  7. Prior malignancy with a disease-free survival of \< 5 years, except curatively treated basalioma of the skin, pTis of the cervix uteri.
  8. Pregnant or lactating patients. Patients of childbearing potential must implement adequate non-hormonal contraceptive measures (barrier methods, intrauterine contraceptive devices, sterilization) during study treatment.
  9. Participation in another clinical trial with any investigational, not marketed drug within 30 days prior to study entry.
  10. Not eligible for the trial assessed by the investigators of our study.
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Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
37 participants (estimated)

Study arms

  • Experimental
    SHR6390+Anastrozole+Pyrotinib+Trastuzumab±Ovarian Suppression

    Drug: SHR6390 · Drug: Anastrozole · Drug: Pyrotinib · Drug: Trastuzumab

Interventions

  • DrugSHR6390

    SHR6390 150 mg, orally once daily on Day 1 to Day 21 of every 28-day cycle followed by 7 days off treatment for 4 cycles

  • DrugAnastrozole

    Anastrozole 1md, orally once daily for 16 weeks (For premenopausal women, ovarian suppression may be considered)

  • DrugPyrotinib

    Pyrotinib 400mg once daily for 16 weeks

  • DrugTrastuzumab

    Trastuzumab 6mg/kg (loading dose, 8mg/kg), infusion once every 3-week cycle for 5 cycles.

06

What researchers measure

Primary outcomes

  1. Ki67 changes from baseline to 2 weeks after the start of the neoadjuvant therapy

    Ki67 changes from baseline to at 2 weeks after the start of the neoadjuvant therapy

    Time frame: 2 weeks

Secondary outcomes

  1. Ki67 changes from baseline to at surgery

    Ki67 changes from baseline to at surgery

    Time frame: average 19 weeks after the start of the neoadjuvant therapy

  2. Pathological complete response (ypT0/is ypN0) rate

    Absence of invasive cancer in the breast and axillary nodes, irrespective of ductal carcinoma in situ.

    Time frame: average 19 weeks after the start of the neoadjuvant therapy

  3. Objective response rate (ORR)

    ORR includes all patients whose cancer has a partial or complete response according to RECIST 1.1

    Time frame: average 19 weeks after the start of the neoadjuvant therapy

  4. Invasive disease-free survival (IDFS)

    IDFS is defined as the time period between registration and first event (ipsilateral invasive breast tumor recurrence, regional invasive breast cancer recurrence, distant recurrence, death attributable to any cause, contralateral invasive breast cancer, second primary nonbreast invasive cancer)

    Time frame: 5 years

  5. Tolerability and safety: number of patients whose treatment had to be reduced, delayed or permanently stopped

    Descriptive statistics will be given on the number of patients whose treatment had to be reduced, delayed or permanently stopped.

    Time frame: during treatment (16 weeks)

07

Study locations

No study locations are listed for this record.

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References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 22, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT04236310
Lead sponsor
Ruijin Hospital
Collaborators
Jiangsu HengRui Medicine Co., Ltd.
Responsible party
Sponsor
First posted
Jan 22, 2020
Start date
Jan 15, 2020 (estimated)
Primary completion
Dec 31, 2022 (estimated)
Completion
Dec 31, 2022 (estimated)
Last update
Jan 22, 2020

Study contacts

Jiayi Wu, Dr.
Contact
pinkscorpio@163.com
0086-21-64370045 ext. 602268

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Jan 2020. You cannot join it, but the record below documents what was studied.

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